Jessie A Bacon, LCSW in Fort Hall, ID

Jessie A Bacon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Hall, Idaho. Her current practice location is Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 237-5631.

Jessie A Bacon is licensed to practice in Idaho (license number LCSW-32218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750507604.

Contact Information

	Jessie A Bacon, LCSW
	Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203
	(208) 237-5631
	(208) 237-5796

Map and Direction

Healthcare Provider's Profile

Full Name	Jessie A Bacon
Gender	Female
Speciality
Experience	Years
Location	Mission Road Blding 248, Fort Hall, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessie A Bacon attended and graduated from in

NPI Data:

NPI Number: 1750507604
Provider Enumeration Date: 04/18/2007
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jessie A Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750507604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-32218 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie A Bacon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessie A Bacon, LCSW 1068 E Reservation Rich Ln, Blackfoot, ID 83221-7052 Ph: (208) 681-6980	Jessie A Bacon, LCSW Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Ph: (208) 237-5631

Reviews and Comments

Social Worker in Fort Hall, ID

Akaila Martin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 N Mission Road #240, Fort Hall, ID 83203 Phone: 208-478-4026 Fax: 208-478-4022
Mr. Thayne Andersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Daniel Jerome Hall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Ms. Shari L. Newsome, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Ms. Kristy Lee Broncho, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Matthew J Wadsworth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796

Jessie A Bacon, LCSW - Medicare Clinical Social Worker in Fort Hall, ID